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HomeMy WebLinkAboutMiscellaneous - 145 CORTLAND DRIVE 4/30/2018 10-1 C16 BUILDING FILE i i i THEA®RFOLK ®E®HAif&GROUI'o I March 5, 2015 FORM OF NOTICE OF CASUALTY LOSS TO BUILDING 1 UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B Building Commissioner, or Inspector of Buildings c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 Board of Health or Board of Selectmen c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 Fire Department or Arson Squad c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 RE: Our File No.: P1689204 Insured: MEETINGHOUSE COMMONS C/O CROWNINSHIELD MANAGEMENT Address: 145 CORTLAND DRIVE, NORTH ANDOVER, MA Policy No.: R0623917A Loss Date: 02/22/2015 Loss Type: Building or Other Structure Damage A claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Ch. 143, Sec. 6 to be applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 3B is appropriate, please direct it to my attention and include a reference to the captioned insured, location, policy number, loss date and claim or file number. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property, and the claim will be paid in our customary manner. Sincerely, Lorraine A. Peirce Sr. Property Claims Examiner 1-800-688-1825 x1139 NORFOLK&DEDHAM MUTUAL FIRE INSURANCE CO. 222 Ames Street,P.O.Box 9109,Dedham,MA 02027-9109 DORCHESTER MUTUAL INSURANCE CO. Telephone:(800)688-1825 FITCHBURG MUTUAL INSURANCE CO. p Fax:(781)329-1818 i J Noetp s • �Oj4ns°A S�Clpls� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Permit# 002 7/31/08 _ Date: October 8, 2008 THIS CERTIFIES THAT THE BUILDING LOCATED ON 145 Cortland Road Unit#9 MAY BE OCCUPIED AS Sin Family Dwelling ACCORDANCE WITH THE PROVISIONS OF TSE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Meetin House LLC 115 Carterfield Road North Andover MA 01845 Building Inspector I i i NORTH ,9 ovm Of Andover aaZ �— - LA © dover, Massa ' �A coC MICMEWICK`�� T— �� RATED S BOARD OF HEALTH Food/Kitchen PERMIT T D 4. Septic System ..., ... :...., ... .... : . ..::.. BUILDING INSPECTOR 01 THIS CERTIFIES THAT............... r0.......... .................... i has permission to erect........................................ buildings on `�� r, 1 ��r�- ypi 1 T 9 Rou 1 9 1. ..... ........... . ..... � r r .... , tr' 4-, to be occupied as.......................... ............ •�..�............ ..`............. ......:.............................................................................. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in ,nal this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. LUMBINP INSPECTOR VIOLATION of the Zoning or Building Regulations Voids-this Permit. .9 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC gN,,.STARTS _.. s,, .........� .........: .......w.:�: !, .a.. .... Service B CTtL'�ING INSPECTOR l flrc I 0- "7-© Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough 01 a r F' 'I 1 No Lathing or Dry Wall 'To. Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. ' SEE REVERSE SIDE smoke Det. �G� i NORTh Oa,t4ao IL SSSt CMU APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION Building Permit# 00 2- ADDRESS/LOCATION OF PROPERTY I Ajo,-d Map C Parcel 31 Lot Number SUBDIVISION C DATE REQUESTED FILED/R DY FOR INSPECTION 3(�� �O hl CLOSING DATE ON PROPERTY:_ 1 ohy l o � FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS$20.00)WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. Permit Issued to: ffwA� li Address 664 A V � SIGNED ROUTING. CONSERVATION r7 PLANNING 0 �jlA ` Cd - DPW-WATER METER SEWERIWATER CONNECTION NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW _ 1 � Signature File: Application for OC form revised Jan 2007 �r IJ Date......5::Z 9.7.. t pORT►,, 3?°•_t;`'°:'�."�0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,sSACMusE� This certifies that ........./`;......t.:..:...�t.. ..... �2 ! ^..................... has permission to perform ......... wiring in the building of..........��rl.;....../.�......�.............�........................... at........ / /�f}�t �i��,. ..V....... ,North Andover,Mass. Fee..... -F`.J.. Lic.No.. �/J'1. ........ . ........- ELECTRICAL INSPECTOR 7 Check N 7354 Commonwealth of Massachusetts Official Use Only t� Department of Fire Services Permit No. Occupancy and Fee Checked , BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) i APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( EC),5 7 CMR 12.00 i (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ©T , City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned givesnotice of his or h mte tion to perform the electrical work described below. Location(Street& Number) Owner or Tenant ( -v�, (���cp �y ���y `i (!::�2 Telephone No. 6t7-'Z6�,!!� Owner's Address !i( C,E-� Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building n t-; Utility Authorization No. Zu I q Z__�; N Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters I New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity l Location and Nature of Proposed Electrical Work: Completion of thefollowing table nzay be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Tota Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA I No.of Luminaires Swimming Pool Above E] In- E:1 o.o Emergency Lighting rnd. rnd. Batter Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones l No.of Switches No.of Gas Burners No.of Detection and Initiating Devices I No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices 4 No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: I I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent KW a No. o Water No. of No. o Dta Wiring: 1 Heaters Signs Ballasts No.of Devices or Equivalent , No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: 1 No.of Devices or Equivalent I OTHER: ' Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value oElec ical Work: fpµO7 (When required by municipal policy.) Work to Start: `i, 30 p Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cover e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Q BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: AA_AC_ &ZLfi-tCCf—6eX%)t S LIC. NO. Keg Licensee: l(,%A 476L- /x-(e4L'� � Signature LIC. N0.:141--L-7 (If applicabl Ir "exempt"in the li�gnse number line. Bus.Tel. No.: 63 3 8-2--Z.017. Address: WS �t4 e-G A-C , 4".570AJ, _�4f Alt.Tel. No.: 7k "OFs,6 Z- *Per M.G.L c. 147, s. 57-61, skcurity work requires Department of Public Safety "S" License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent FPEJ?MlT FEE. $ Signature Telephone No. I Date......./....'..e-- d9. °:t"`°:•�"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SSACMus� .� This certifies that .......... / � ��'�'e.. has permission to perform . 141�'! ..... 1�................................... `�� `/U wiring in the building of........./v.�..............�f... .,�.�:".............................. at...../� ............. . orth Andover,Mass. Lic.No. . /c �/� l .......... Zi f�� ...................... ............. ELEErRICAL MpECTOR ✓ �I Check # A&S t31- 8324 8324 � - - Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. y Occupancy and Fee Checked -,&op . I BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK } All work to be performed in accordance with the Massachusetts Electrical Code(ME );527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date. Z City or Town of: NORTH ANDOVER To the inspector of Wires: By this application the undersigned gives notice of his or her intention to perform th ,electrical k described below. cl Location(Street&Number) 1 _ (,Q��.�,� L10 Owner or Tenant' „Nelephone No. foo --u, - Owner's Address ( K� All- A Z � Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building 9:!:z$�� ti�y+—(_ UtilityAuthorization No. �2 4 33 Z_— Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters I New Service ZU u Amps L LO/ 2 L{ olts Overhead❑ Undgrd Ego" No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: L.,L Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:SusP (Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool rnd bove ❑ Irnd. E] Batte Unitsn- No.of Emerency ig ng No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and i Initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump Number I Tons KW No.of Self-Contained No.of Waste Disposers Totals: ' ' Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local[I Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent .OTHER: l Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value f Ele trical Work: r o �� (When required by municipal policy.) Work to Stat V Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE a BOND ❑ OTHER ❑ (Specify:) I certify, under the pains andpenalties of perjury,that the information on this application is true and complete. ,� _ FIRM NAME: v`�.M �c.CLac C��— S'�� C_L, LIC.NO.- "l ✓— Licensee:M-(.C{1( z e-1 Signature LIC.NO.:/--,Z-> fros (If applicable, ent r"exempt"in the lice a number line.) Bus.Tel.No. Z� 3 Address: LZ4-S g J A S f Alt.Tel.No.. *Per M.G.L c. 147,s. 57-61,sec ty work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below;I hereby waive this requirement. I am the(check one)❑ owner ❑owner's agent. Owner/Agent PERMIT FEE: $200 Signature Telephone No. I � ,.,, ��v � � �� ��. Ca - 7 � D � r v Date. NOR,N TOWN OF NOR ANDOVER _ PERMIT FOR PLUMBING 4O+.rm.d1 SA HUS //// This certifies that . ; �. . . f.<� Pte. . . ! f. . . ( . . . . . . has permission to perform . . . . .`� ((. . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . at. . . .,rty5- . . . .E°���F�!-„.4� . . . . . ..�N f h Andover, Mass. _ f Fee ��� r�?.Lic. No./'/5. . .�. . . `?.1.�. . . . . . . . . . . ,PLUMBING INSPECTOR Check # S� ' 7823 371 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Building Location Owners Name � ��( DatePermit# L Amount Type of Occupancy p S New Renovation Replacement '13 Plans Submitted Yes No FIXTURES K co ° 1 RSffvwr MR� TIN- 3MFLOM 41H FLOCR SM FLOCR 7II3 FLOOR gm FLOQt ! (Print or type) e Check one: Certificate Installing Company Name Co Address 0 Partner. usiness 1 hone Firm/Co. Name of Licensed Plumber: Insurance Coveraee• Indicate the pe of insurance coverage by checking the appropriate box: Liability insurance policy Other type.of indemnity ❑ Bond Insurance Waiver. I, the undersigned,have been made aware that the license three insurance e of this application does not have any one of the above lgnature Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State P mbin Code and p 42 of the General Laws. By' igna ure icense um er ' Title Type of Plumbing License Ci City/, icense um er ""�� Master � Journeyman ❑ APPROVED(OFFICE USE ONLY Date.. 17+1. . . ... ... . . NORTH pF �.ao ,°1tip TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION SAGNUSES This certifies that . . . . . . . . . . . . . . . . . . has permission for gas installation . .��,�4� . . . in the buildings of . . . .�!I-G�°.4,k,,I'!�'.'^ ' . . . . . . . . . . . . . . . . . at Y. fe.se<?��... � . . . . . .. North Andover, Mass. Fee./(. v.av Lic. No.. ./. . S . �../. : . . . . . . GAS INSPECTOR Check# ( . 6510 i I I MA%ACMSEM UNNORMAPPLICAT4NFORPERMiT TO DO GAS F'1TTING � (Type or print) I NORTH ANDOVER, MASSACHUSETTS Date. Building Loqations Permit laer Owner's Name Amount$ New Renovation Replacement Plans Submitted a w 0 . W a o ° y H Z w � w a O O W IIS V d W W Gw U W $ EFd v� a a d F Z (�. z �' W W C taa7 F w F yW+ z w > x z d a w0 z O z W p y E6H ASEM ENT 3 o C7 U a > C a F O t ENT I LOOR i LOG R LOOR LOOR LOOR 1 LOORLOORLOOR I I (Print or type) - Name �.,[ Check one: Certificate Installing Company i ' � A ❑ Corp. Address usme s ep one 6 Partner. ❑ Firm/Co. Name of Licensed Plumber�or Gas Fitter INSURANCE COVERAGE Check one - I have a current liability Insurance,policy or it's substantial equivalent. Yes If you have checked es please i icate the type coverage by checking the appropriate box. No❑ Liability insurance.policy Other type of indemnity 1:3 Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws,and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Check one: Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts StateG Co and Ch of the General Laws. By: 6 nature of Licensed Plumber Or G Fitter Title ❑ Plumber City/Tovrn, Gas Fitter icens um er Master APPROVED(OFFICE USE ONLY) 13 Journeyman I